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All Journal Majalah Kesehatan FKUB Indonesian Journal of Obstetrics & Gynecology Science Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) ISM (Intisari Sains Medis) : Jurnal Kedokteran Andalas obstetrics and gynecology journal Narra J
Tyas Priyatini
Departement Of Obstetrics And Gynecology, Faculty Of Medicine, Universitas Indonesia - Dr. Cipto Mangunkusumo National General Hospital, Jakarta
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Pelvic Organ Prolapse Quantifi cation Accuracy for Elongasio Cervix Diagnose in Pelvic Organ Prolapse Patients: Akurasi Pelvic Organ Prolapse Quantifi cation untuk Diagnosis Elongasio Serviks pada Pasien Prolaps Organ Panggul Tyas Priyatini; Finish Fernando; Lucky S. Widyakusuma; shirley T. Anggraeni; Kukuh W. Kustarto
Indonesian Journal of Obstetrics and Gynecology Volume 8 No. 1 January 2020
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v8i1.1006

Abstract

Abstract Objective: To know sensitivity, specificity and accuracy of Pelvic Organ Prolapse Quantification (POP-Q) to measure cervical length for cervical elongation diagnose in Pelvic Organ Prolapse (POP) patients with gold standard was the anatomical cervical length from hysterectomy result. Methods: Diagnosis research, cross-sectional, consecutive sampling. POP-Q was taken before the operation and the anatomical cervical length was from hysterectomy result Results: Sixty six subject, 1.5% 2nd stage POP, 45.5% 3rd stage POP, and 53.0 % 4th stage POP. Mean (± sd) age and body mass index consecutively59.88 years (± 9.347) and 24.41 (± 3.67) kg/m2. Median (min-max) cervical length POP-Q and anatomy consecutively 4 cm (1-12) and 5 cm (3-10). Sensitivity, Specificity dan Accuracy POP-Q consecutively 79%, 58% dan 68% Conclusion: POP-Q has good specificity (79%) but with less sensitivity (58%) with accuracy 68% to diagnose cervical elongation in POP Keywords: accuracy, cervical elongation, cervical length, pelvic organ prolapse, pelvic organ prolapse quantification (POP-Q), sensitivity, specificity. Abstrak Tujuan: Untuk mengetahui nilai sensitivitas, spesifisitas dan akurasi Pelvic Organ Prolapse Quantification (POP-Q) untuk menilai panjang serviks sebagai diagnosis elongasio serviks pada pasien POP dengan baku emas pengukuran anatomi serviks dari hasil histerektomi. Metode: Uji diagnosis, potong lintang, consecutive sampling. Data diambil dari pemeriksaan POP-Q dan pengukuran anatomi serviks dari hasil histerektomi. Hasil : Enam puluh enam subjek, 1,5% POP derajat 2, 45,5% POP derajat 3 dan 53,0 % POP derajat 4. Rerata(± sb)usia dan Indeks Massa Tubuh (IMT) berturut – turut 59,88 tahun (± 9,347) dan 24,41 (± 3,67) kg/m2. Median (min-maks) panjang serviks POP-Q dan anatomi berturut – turut 4 cm (1-12) dan 5 cm (3-10). Sensitivitas, spesifisitas, dan akurasi POP-Q berturut – turut 79%, 58% dan 68% Kesimpulan : Pemeriksaan POP-Q memiliki spesifitas yang baik (79%) tetapi dengan sensitivitas yang kurang baik (58%) dan akurasi 68% untuk diagnosis elongasio serviks pada prolaps organ panggul. Kata kunci: akurasi, elongasio serviks, panjang serviks, prolaps organ panggul, pelvic organ prolapse quantification (POP-Q), sensitivitas, spesifisitas
Pelvic Floor Muscle Strength Stress Urinary Incontinence: Kekuatan Otot Dasar Panggul dan Stres Inkontinensia Urin Asih Anggraeni; Surahman Hakim; Budi I. Santoso; Tyas Priyatini; Fernandi Moegni
Indonesian Journal of Obstetrics and Gynecology Volume 8 No. 3 July 2020
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v8i3.1270

Abstract

Objective: To examine the relationship between muscle strength and muscle thickness of levator ani with stress urinary incontinence (SUI) in women.Methods: This study uses a comparative cross-sectional study design. We collected 82 women who visiting the Obstetrics and Gynecology clinic of RSUPN Dr. Cipto Mangunkusumo with the study group were subjects with positive cough tests while the control group were subjects with negative cough tests. The data obtained in the form of history taking, Questionnaire for Urinary Incontinence Diagnosis (QUID), physical examination (POPQ), cough test. perineometer, and ultrasound.Results: We found no significant difference between the levator ani muscle thickness to the incidence of SUI with the median levator ani muscle thickness 0.63 cm (range 0.31-1.02 and p = 0.897). While levator ani muscle strength against SUI has a median of 19.5 (range 4.6-88.6 and p = 0.001). In multivariate analysis it was found that purely SUI, prolapse and age had no significant effect on the strength of levator ani muscles with a p-value of 0.243; 0.844; 0.903.Conclusions: There is no significant difference in levator ani muscle thickness between women who experience SUI compared to those who do not. Women with SUI have weaker levator ani muscle strength than those who do not experience but are not statistically significant. And there is no correlation between muscle strength and levator ani muscle thickness in women with SUI.Keywords: muscle strength, muscle thickness, perineometer, stress urinary incontinence, ultrasound. Abstrak Tujuan : Untuk mengkaji hubungan antara kekuatan otot dan ketebalan otot levator ani dengan keluhan IU-T pada perempuan.Metode : Penelitian ini menggunakan desain perbandingan potong lintang dengan melibatkan 82 wanita yang berkunjung di poliklinik Obstetri dan Ginekologi RSUPN Dr. Cipto Mangunkusumo dengan kelompok studi adalah subyek dengan tes batuk positif sedangkan kelompok kontrol adalah subyek dengan tes batuk negative. Data yang diperoleh berupa hasil anamnesis, Questionnaire for Urinary Incontinence Diagnosis (QUID), pemeriksaan fisik (POPQ), tes batuk. perineometer , dan USG.Hasil: Hasil penelitian ini didapatkan tidak ada perbedaan bermakna antara ketebalan otot levator ani terhadap kejadian IUT dengan median ketebalan otot levator ani 0,63 cm (jarak 0,31-1,02 dan p=0,897). Sedangkan kekuatan otot levator ani terhadap IUT memiliki median 19,5 (jarak 4,6-88,6 dan p=0,001). Pada analisis multivariat didapatkan bukti bahwa secara murni IUT, prolap dan usia tidak mempunyai pengaruh bermakna terhadap kekuatan otot levator ani dengan nilai p masing-masing 0,243; 0,844; 0,903.Kesimpulan : Tidak terdapat perbedaan yang bermakna pada ketebalan otot levator ani antara perempuan yang mengalami IU-T dibanding yang tidak mengalami. Perempuan IU-T mempunyai kekuatan otot levator ani yang lebih lemah dibanding yang tidak mengalami, namun tidak bermakna secara statistik. Tidak terdapat hubungan korelasi antara kekuatan otot dan ketebalan otot levator ani pada perempuan yang mengalami IU-T. Kata kunci : inkontinensia urin jenis tekanan, ketebalan otot, kekuatan otot, perineometer, USG
Sistem skoring faktor risiko sebagai model prediktor kejadian cedera sfingter ani obstetrik Arufiadi Anityo Mochtar; Surahman Hakim; Tyas Priyatini; Shirley Anggraini Tunggadewi; Erwinanto Erwinanto; M Thohar Arifin
Intisari Sains Medis Vol. 9 No. 3 (2018): (Available online: 1 December 2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (462.52 KB) | DOI: 10.15562/ism.v9i3.333

Abstract

ABSTRACTIntroduction: anal sphincter injury is one of the complications that often occur in vaginal delivery. The impact of anal sphincter injury after vaginal delivery can reduce quality of life by causing various complaints such fecal incontinence, voiding disorders, sexual dysfunction, perineal pain and rectovaginal fistula. Assessment of risk factors is important to watch out for patients who are more prone to injury to the anal sphincter. This study aims to obtain a scoring system of various antenatal risk factors that can be used to predict the incidence of obstetric anal sphincter injury.Methods: This study is a diagnostic test that uses predictive factors for various risk factors for anal sphincter injury in vaginal delivery. The research was carried out in maternity service at Dr. Cipto Mangunkusumo General Hospital and Fatmawati General Hospital in the period February - July 2016. Analysis of the data in this study uses SPSS version 21.0. The analysis test used in this study is the calculation of odds ratio, logistic regression test, ROC curve analysis test to assess sensitivity and specificity of the scoring system.Results: Nulliparous, estimated fetal weight ≥ 3,500 gr, perineum length ≤ 25 mm, estimated head circumference ≥33.5 were risk factors for obstetric anal sphincter injury (OR> 1; p <0.05). Through the scoring modeling system all risk factors can be converted into scores 1. The probability values of scores 1, 2, 3, 4 are 7%, 30%, 70% and 90% respectively. The sensitivity and specificity of the scoring system developed were 61.3% and 91.3% with a cut-off score of 2.Conclusion: By knowing the prediction score before delivery, action can be taken to prevent the possibility of sphincter injury in obstetrics.
Improving pelvic floor muscle strength in women with postpartum stress urinary incontinence using electromagnetic stimulation therapy: A randomized controlled trial Roziana, Roziana; Chan, Muhammad SN.; Santoso, Budi I.; Sjusad, Suskhan; Priyatini, Tyas; Hakim, Surahman; Moegni, Fernandi; Mutia, Alfa P.; Kurniawan, Andrew P.; Armita, Nurdarlila
Narra J Vol. 5 No. 1 (2025): April 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i1.2015

Abstract

Electromagnetic stimulation (EMS) has emerged as a potential alternative for managing urinary incontinence in women. However, research directly comparing EMS to Kegel exercises in cases of postpartum stress urinary incontinence (SUI) is limited. The aim of this study was to assess the effectiveness of EMS (improvement of the symptoms, incontinence severity and pelvic floor muscle strength) and patient compliance with the therapy in postpartum women with SUI. A single-blind randomized clinical trial was conducted involving postpartum women diagnosed with SUI at least three months after delivery. The EMS group received the therapy three times a week for five weeks, while the Kegel group was instructed to perform daily exercises for eight weeks. Improvement of the symptoms and incontinence severity were evaluated using the Urogenital Distress Inventory-6 (UDI-6) and a 1-hour pad test, respectively, while pelvic floor muscle strength was measured with a perineometer. Both groups showed significant improvements in UDI-6 scores, 1-hour pad test results and pelvic floor muscle strength compared to before treatment. However, the EMS group had significantly greater muscle strength than the Kegel group (16.5 vs 8.0 cmH2O, p=0.006). The UDI-6 scores, 1-hour pad test results and patients’ compliance were not significantly different between EMS and Kegel groups. EMS demonstrated a greater ability to enhance pelvic floor muscle strength than Kegel exercises. These findings suggest that EMS may be a more effective option for enhancing pelvic floor muscle strength in postpartum women.
Modification of Intrauterine Catheter Device to Manage Reocclusion Following Cervical Dysgenesis Surgery: A Case Series Tyas Priyatini; Rodiani, Rodiani
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 2 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.2.318-326.2025

Abstract

Background: Cervical dysgenesis is an extremely rare type of Mullerian anomalies causing obstructive symptoms. Conservative surgery of neocervix may be related to reocclusion of the genital tract and further increase the risk of reoperation. The presence of uterine malformation may also complicate this condition and lead to challenges for normal anatomy restoration. Case presentation: We present three cases of primary amenorrhea and obstructive symptoms caused by reocclusion following cervicovaginal conservative surgery. A neovagina was created using amniotic graft, followed by the insertion of intrauterine catheter device using a syringe barrel to maintain canalization and prevent reccurent occulsion. Double approach technique (laparotomy hysterotomy and transvaginal approach) was used in the two cases and one case underwent transvaginal surgery. Three months follow-up revealed normal menstruation and rather satisfying anatomical outcome. Clinical discussion: Treatments should aim to relieve obstructive symptoms, improve function, and preserve fertility. Conservative surgical approach to manage cervical dysgenesis warrants challenges in preventing reocclusion. Surgery mainly consists of creating neocervix, neovagina if needed, and maintaining the continuity of the genital tract. Conclusion: Intrauterine catheter device using a syringe barrel is a simple and feasible option with satisfactory anatomical as well as functional outcome to manage cervical dysgenesis
Clinical Characteristics of Pelvic Organ Prolapse at a Nationally Referred General Hospital: A Retrospective Study (2023-2024) Djusad, Suskhan; Hakim, Surahman; Meutia, Alfa Putri; Priyatini, Tyas; Moegni, Fernandi; Hidayah, Gita Nurul; Azzahra, Kayla Rianna
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 4 October2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i4.3021

Abstract

AbstractObjective: To evaluate the clinical characteristics of patients with Pelvic Organ Prolapse (POP) in national referral hospitals and analyze the relationship between age, parity, and prolapse severity. Methods: This medical record–based retrospective study included 353 POP patients from 2023–2024. Variables assessed were age, parity, prolapse severity (POP-Q), sexual activity status, and type of therapy received. Correlation analysis was performed using Spearman’s rank correlation with SPSS version 26. Results: Most patients (81.3%) were postmenopausal, and 64.6% were multiparous. The majority presented with stage IV prolapse (34.8%), and operative therapy was the primary treatment choice (89.5%). Significant associations were observed between age and prolapse severity (? = 0.208, p < 0.001) and between parity and prolapse severity (? = 0.215, p < 0.001). These findings indicate that increasing age and higher parity are significantly associated with more severe POP, although the correlation strength was weak. Conclusions: POP was most commonly found in postmenopausal women, with higher severity among older and multiparous patients. These findings highlight the importance of early screening and preventive strategies to reduce POP progression. Further prospective multicenter studies are needed to evaluate the long-term impact of POP on quality of life and to compare the effectiveness of conservative versus operative therapies. Keywords: conservative therapy, degree of prolapse, parity, Pelvic Organ Prolapse, reproductive age, surgical intervention.
Effectiveness of Laser Therapy in Stress Urinary Incontinence Patients: A Systematic Review and Meta-Analysis Tyas Priyatini; I Putu Gede Kayika; Ruthsuyata Siagian
Indonesian Journal of Obstetrics & Gynecology Science Volume 9 Number 2 July 2026
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v9i2.910

Abstract

Objective: This systematic review and meta-analysis aimed to evaluate the effectiveness of laser therapy in improving urinary and sexual function in women with SUI.Methods: The literature was selected using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) protocol. We did literature searches in several databases, including Science Direct, Pubmed, Google Scholar, Cochrane, ProQuest, and Scopus, from inception until January 2025. Quality assessment was performed using the Cochrane Risk of Bias Tool. Mean differences (MD) with 95% confidence intervals (CI) were calculated using a random-effects model.Result: There were ten journals with 598 participants that met the criteria. The results of the pooled analysis showed a statistically significant improvement in post-laser therapy pad weight (MD = -0.49; 95% CI: -0.97 to -0.01; p = 0.0435). Despite the non-significant differences and heterogeneity found in the meta-analysis of sexual function outcome (MD = -0.49; 95% CI: -0.97 to -0.01; p = 0.0435), the individual studies stated that the sexual function was improved in women with SUI post-laser therapy.Discussion: Laser therapy, particularly CO₂ and Er:YAG modalities, appears effective in enhancing sexual function in women with SUI. Variability in protocols and outcome measures among studies may contribute towards heterogeneity. Most trials had small sample sizes and short follow-ups.Conclusion: Laser therapy shows promise for improving urinary and sexual function in women with SUI, warranting further robust research.Efektivitas Terapi Laser pada Pasien Inkontinensia Urin Stres: Tinjauan Sistematis dan Meta-AnalisisAbstrakTujuan: Tinjauan sistematis dan meta-analisis ini bertujuan untuk mengevaluasi efektivitas terapi laser dalam meningkatkan fungsi urinasi dan seksual pada wanita dengan SUI.Metode: Literatur diseleksi dengan protokol Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA). Penelusuran literatur dilakukan pada beberapa basis data, termasuk Science Direct, Pubmed, Google Scholar, Cochrane, ProQuest, dan Scopus, sejak awal hingga Januari 2025. Penilaian kualitas dilakukan menggunakan Cochrane Risk of Bias Tool. Perbedaan mean (MD) dengan interval kepercayaan (CI) 95% dihitung menggunakan model efek acak.Hasil: Terdapat sepuluh jurnal dengan 598 partisipan yang memenuhi kriteria. Hasil penelitian dari analisis gabungan menunjukan bahwa terdapat peningkatan yang signifikan secara statistik pada pad weight pasca terapi laser (MD = -0,49; 95% CI: -0,97 hingga -0,01; p = 0,0435). Meskipun perbedaan dan heterogenitas yang tidak signifikan ditemukan dalam meta-analisis hasil fungsi seksual (MD = -0.49; 95% CI: -0.97 to -0.01; p = 0.0435), studi individual menyatakan bahwa fungsi seksual membaik pada wanita dengan SUI pasca-terapi laser.Diskusi: Terapi laser, khususnya modalitas CO₂ dan Er:YAG, tampak efektif dalam meningkatkan fungsi seksual pada wanita dengan SUI. Variabilitas dalam protokol dan ukuran hasil di antara studi dapat berpengaruh pada heterogenitas. Sebagian besar uji coba memiliki ukuran sampel kecil dan follow-up yang singkat.Kesimpulan: Terapi laser menunjukkan harapan untuk meningkatkan fungsi urin dan seksual pada wanita dengan SUI, yang menjamin penelitian lebih lanjut yang kuat.
PROFILE OF PELVIC ORGAN PROLAPSE PATIENTS AT THE UROGYNECOLOGY CLINIC OF Dr. CIPTO MANGUNKUSUMO GENERAL HOSPITAL 2019–2025 Priyatini, Tyas; Prabawati, Nirmala Gina; Syafardi, Irsat; Hayati, Nora Amalia
Majalah Kesehatan Vol. 13 No. 2 (2026): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2026.013.02.4

Abstract

Pelvic organ prolapse (POP) is a common pelvic floor disorder that adversely affects women’s physical, psychological, and social well-being. Globally, approximately 30% of women may experience some degree of POP, with reported prevalence in Asian countries ranging from 3% to 50%. Limited hospital-based epidemiological data are available in Indonesia. This study aimed to describe the demographic and clinical profile of POP patients at a national tertiary referral center. A retrospective descriptive study was conducted using medical records of patients diagnosed with POP at the Urogynecology Clinic of Cipto Mangunkusumo General Hospital between 2019 and 2025. Variables analyzed included age, prolapse  severity, dominant compartment, parity, urinary disorders, type 2 diabetes mellitus, and obesity. Data were presented descriptively with 95% confidence intervals (CI). A total of 384 patients were identified, with a mean age of 57.86±12.41 years (95% CI 56.61–59.10). Most patients were aged >50 years (74.0%; 95% CI 69.6–78.4). Mild POP was observed in 52.1% and severe POP in 47.9%. Based on the compartment with the highest prolapse degree, cystocele was identified in 39.3% of cases, apical prolapse in 14.3%, and rectocele in 7.6%, while 38.8% had no single predominant compartment. A history of childbirth was documented in 83.8%, with parity 1–3 being most common (49.7%). Stress urinary incontinence (27.3%) was the predominant urinary disorder. Type 2 diabetes mellitus was found in 11.7%, and obesity in 34.0% of patients with available BMI data. In conclusion, POP patients were predominantly women aged >50 years, most with a history of childbirth. Prolapse severity was nearly evenly distributed between mild and severe cases; cystocele was the most common highest-degree compartment, followed by apical prolapse and  rectocele, with a substantial proportion of patients showing multicompartment involvement. Stress urinary incontinence was the predominant urinary disorder, and obesity and type 2 diabetes mellitus were the most common metabolic comorbidities.  
Comparative Sexual Outcomes of Laparoscopic Davydov and SIS Graft for Neovagina in MRKH Patients: Meta-Analysis Wael Oemar; Tyas Priyatini
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.1.26-40.2026

Abstract

Introduction: Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a rare congenital anomaly of the female reproductive system, characterized by the absence of the uterus and upper vagina. Neovaginal reconstruction is the primary treatment to enable normal sexual function. Two commonly used techniques are the laparoscopic Davydov procedure and the use of Small Intestine Submucosa (SIS) grafts. Methods: A systematic review and meta-analysis were conducted on studies comparing these two surgical techniques in MRKH patients. Literature searches were performed through multiple international databases. Inclusion criteria involved both observational and experimental studies reporting anatomical and sexual function outcomes postoperatively. Statistical analysis was performed to compare the outcomes of both techniques. Results: The review found that both techniques are effective in achieving satisfactory anatomical and functional neovagina creation. However, differences were observed in parameters such as duration of molding use, vaginal length, and FSFI domain scores. The laparoscopic Davydov procedure showed advantages in anatomical outcomes and shorter molding duration, while SIS grafts demonstrated better scores in some subjective aspects of sexual function. Conclusion: Both the laparoscopic Davydov procedure and SIS grafts are effective in neovagina creation for MRKH patients. The Davydov technique offers superior anatomical results and reduced postoperative dilation time, whereas SIS grafts may provide improved sexual desire, arousal, and satisfaction. Further studies with larger and more diverse populations are needed to validate these findings.
Double Approach Technique for Cervicovaginal Agenesis: A Case Report Tyas Priyatini; D. Irsat Syafardi
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.1.170-178.2026

Abstract

Introduction: Cervicovaginal agenesis is rare female congenital anomalies. The patients usually present with primary amenorrhoea, cyclical abdominal pain, or primary infertility. A conservative surgical approach has been proposed to alleviate obstructive symptoms, construct, and maintain the patency of the genital tract, while still preserving fertility. Case Report:  A Ms. 14 year old was referred with primary amenorrhea and cyclical abdominal pain for 5 months. Physical examination and ultrasound revealed cervical dysgenesis with proximal vaginal dygenesis. Cervical canalization using double approach (laparotomy and trasnvaginally) was done to restore the normal anatomical integrity, maintain the functional cervical canal with a theoretical advantage of protection from ascending infection, and preservation of fertility. Discussion: Obstructed menstrual blood, causing symptoms such as primary amenorrhea, could be a sign of female congenital anomalies. Hysterectomy has been the mainstay treatment for many decades, due to the risk of reoperation. Advances in surgical technique of conservative treatment marked the overall success rate up to 60% with few cases are reported to have pregnancy. Conclusions: Double approach technique could be a feasible option for conservative surgery in cervicovaginal agenesis.  
Co-Authors Abraham A.L. Maukar Alfa Muthia Alfa Putri Meutia Armita, Nurdarlila Arufiadi Anityo Mochtar Asih Anggraeni Azzahra, Kayla Rianna Budi I Santoso Budi I Santoso, Budi I Budi I. Santoso Budi I. Santoso Budi I. Santoso Chan, Muhammad SN. D. Irsat Syafardi Djusad, Suskhan Elisia Elisia Elisia Elisia, Elisia Erwinanto Erwinanto Fakhrizal, Edy Fernandi Moegni Finish Fernando Hayati, Nora Amalia Hertia Triarani Hertia Triarani, Hertia Hidayah, Gita Nurul I Putu G Kayika Ibnu Pranoto Ibnu Pranoto Joan M. Sari Junizaf Junizaf Junizaf Junizaf Kukuh W. Kustarto Kurniawan, Andrew P. Leonardo Leonardo Lucky S. Widyakusuma M Thohar Arifin Maryuni, Sri W. Mutia, Alfa P. Nuring Pangastuti Nuring Pangastuti, Nuring Prabawati, Nirmala Gina Rodiani, Rodiani Roziana Roziana, Roziana Ruthsuyata Siagian Shirley Anggraini Tunggadewi shirley T. Anggraeni Surahman Hakim Syafardi, Irsat Wael Oemar